Pediatric Orthopedics, Ruth Children's Hospital, Rambam Health Care Campus, Haifa, Israel.
Foot Ankle Spec. 2021 Jun;14(3):238-248. doi: 10.1177/1938640020913182. Epub 2020 Mar 31.
. Hallux valgus is a complex deformity of the first ray of the foot, and a significant number of adolescents develop this deformity. More than 130 surgical procedures have been described to treat hallux valgus, but there is no compelling evidence to prefer one method over another. Minimal invasive techniques have been proposed and reported to be successful and cost-effective. The objective of this study was to describe the clinical course of adolescent patients treated with percutaneous distal metatarsal osteotomy. . A retrospective study included patients who had a percutaneous hallux valgus correction during the years 2008 to 2015. The following measurements were compared before surgery up to last follow-up: AOFAS Hallux-Metatarsophalangeal-Interphalangeal questionnaire and radiological measurements (HVA, IMA, DMAA). Any postoperative complications were extracted from the medical records. . The procedure was performed on 32 feet (27 patients). All patients were <18 years of age. There were 10 male patients (12 feet) and 17 female patients (20 feet). Average age at surgery was 15.8 years (range = 13-18 years). Average follow-up time was 43 months (range= 24-94 months). The average AOFAS score before surgery was 66, and after surgery, at last follow-up was 96. This difference was significant (P value <.0001). Most patients were pain free after the procedure and returned to appropriate age functioning. Significant improvement was noted in all radiological criteria. . Percutaneous distal metatarsal osteotomy is safe, reliable, and effective for the correction of mild to moderate symptomatic hallux valgus in adolescents. Level IV.
. 拇外翻是足部第一跖骨的一种复杂畸形，相当数量的青少年会出现这种畸形。已经描述了超过 130 种手术方法来治疗拇外翻，但没有确凿的证据表明哪种方法更优。微创技术已经被提出并报告为成功且具有成本效益。本研究的目的是描述接受经皮跖骨远端截骨术治疗的青少年患者的临床过程。. 一项回顾性研究纳入了 2008 年至 2015 年间接受经皮拇外翻矫正术的患者。在术前至末次随访时比较了以下测量值：AOFAS 拇趾-跖骨-趾骨问卷和影像学测量值（HVA、IMA、DMAA）。从病历中提取任何术后并发症。. 该手术共进行了 32 只脚（27 例）。所有患者年龄均<18 岁。有 10 名男性患者（12 只脚）和 17 名女性患者（20 只脚）。手术时的平均年龄为 15.8 岁（范围=13-18 岁）。平均随访时间为 43 个月（范围=24-94 个月）。术前 AOFAS 评分为 66，术后末次随访时为 96。这一差异具有统计学意义（P 值<.0001）。大多数患者术后无疼痛，且能恢复到适当的年龄活动水平。所有影像学标准均有显著改善。. 经皮跖骨远端截骨术是一种安全、可靠且有效的方法，可用于矫正青少年轻度至中度症状性拇外翻。等级 IV。
